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LORELA PENGU
NPI 1619781374
Physician Assistant in Myrtle Beach, SC

Active since February 04, 2025PECOS EnrolledAccepts Medicare Assignment
210 VILLAGE CENTER BLVD STE 200, MYRTLE BEACH, SC 29579(843) 353-3460(843) 353-3461 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2025, Feb 4, 2025 (2 updates tracked since 2025).

About Lorela Pengu NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LORELA PENGU (NPI 1619781374) is an individual physician assistant in Myrtle Beach, South Carolina, licensed in South Carolina (5738) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, is affiliated with Grand Strand Regional Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1619781374
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLORELA PENGU
Location Address210 VILLAGE CENTER BLVD STE 200Myrtle Beach, SC 29579-6706
Mailing Address210 Village Center Blvd Ste 140Myrtle Beach, SC 29579-6706 · (843) 353-3460 · Fax (843) 353-3461
Phone(843) 353-3460
Fax(843) 353-3461
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 4, 2025
Last NPPES UpdateMarch 24, 20252 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
✔ NPI 1619781374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in SC · 5738
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
210 VILLAGE CENTER BLVD STE 200, Myrtle Beach, SC 29579
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, Molina Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lorela Pengu is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709301831
PECOS Enrollment IDI20250421003033
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Grand Strand Regional Medical Center

Acute Care Hospitals · Myrtle Beach, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420085
Location809 82nd ParkwayMyrtle Beach, SC 29572 · Horry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29579 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHILIP HILL PT
Physical Therapist
210 VILLAGE CENTER BLVD STE 200
MYRTLE BEACH, SC 29579
Horry County (843) 353-3460
ALEXANDRA FOLEY DPT
Physical Therapist
210 VILLAGE CENTER BLVD STE 200
MYRTLE BEACH, SC 29579
Horry County (843) 353-3460
TREVOR SCOTT JOHNSON
Physical Therapist
210 VILLAGE CENTER BLVD STE 200
MYRTLE BEACH, SC 29579
Horry County (843) 712-7023
MS. KIMBERLEY ANN BOWER PA-C
Physician Assistant
210 VILLAGE CENTER BLVD STE 200
MYRTLE BEACH, SC 29579
Horry County (843) 236-3222
DR. KIMBERLY A CECCHINI-PURGAVIE DO
Physical Medicine & Rehabilitation
210 VILLAGE CENTER BLVD STE 200
MYRTLE BEACH, SC 29579
Horry County (843) 236-3222
CONNOR MICHAEL JANSEN PA-C
Physician Assistant
210 VILLAGE CENTER BLVD STE 200
MYRTLE BEACH, SC 29579
Horry County (843) 353-3460
MRS. KIMBERLY BRUMMETT PT
Physical Therapist
210 VILLAGE CENTER BLVD STE 200
MYRTLE BEACH, SC 29579
Horry County (843) 353-3460
ORTHOSC LLC
Orthopaedic Surgery
210 VILLAGE CENTER BLVD STE 200
MYRTLE BEACH, SC 29579
Horry County (843) 353-3460

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lorela Pengu's NPI number?

The NPI number for Lorela Pengu is 1619781374. It was assigned to this individual provider in the NPPES registry on February 4, 2025.

Where is Lorela Pengu located?

Lorela Pengu practices at 210 Village Center Blvd Ste 200, Myrtle Beach, SC 29579. The listed phone number is (843) 353-3460.

What is Lorela Pengu's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lorela Pengu enrolled in Medicare?

Yes. Lorela Pengu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lorela Pengu accept?

Health plans from BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Lorela Pengu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lorela Pengu affiliated with any hospitals?

According to CMS data, Lorela Pengu is affiliated with Grand Strand Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Lorela Pengu was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.